| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $48.00 | |
Aetna
| Professional | $30.00 | $48.00 | $815.00 | |
Cigna
| Professional | $225.00 | $360.00 | $506.50 | |
MVP Health Care
| Professional | $200.00 | $305.00 | $400.00 |